Christopher W Polk, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60593 Issued in KS

Practice address

2020 N Webb Rd Ste 301
Wichita, KS 67206-3410

Phone

(316) 687-2110

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cambridge Family Dentistry, P.a.

  • Dental Clinic/Center
  • Wichita, KS
  • NPI 1376005124
  NPD (past)
• Cambridge Family Dentisty PA

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1184773541
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1962563320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N WEBB RD STE 301",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063410",
            "telephone_number": "316-687-2110",
            "fax_number": "316-636-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N WEBB RD STE 301",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063410",
            "telephone_number": "316-687-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7205",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7205",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Theresa Poell, APRN
• Poggi Plastic Surgery, PA
• Joseph T Poggi, MD
• Mackenzie M Poirier, SLP
• Caidence Dawn Lynn Polasky
• Judy Lynn Pollard-Licklider, M.A.CC-SLP
• Brianna Pollard, PHARMD
• Jessica Renee Pollet, DNP, APRN
• Anthony G Pollock, M.D.
• Lara Pollock, MSOM, DIPL.OM, DOM

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.